Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Petersen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568298537

Bethany Petersen is a Student in an Organized Health Care Education/Training Program in Southgate, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

13111 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 556-2626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568298537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address13111 Allen Rd Bldg 2, Southgate, MI 48195-2216

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